Abdominal Aortic Aneurysm

Question 1

Risk factor peaks for AAA for male after age

Answer 1

70

Question 2

Risk factors for AAA

Answer 2

Smoker , male, HTN, PVD,Hyperlipidemia. Family Hx of AAA

Question 3

Symptoms are asymptomatic till

Answer 3

Rupture

Question 4

When is a AAA found

Answer 4

during an abdominal exam or during imaging studies.

Question 5

When should the clinician consider a AAA

Answer 5

C/o abdominal and back pain and palpation of a pulsatile mass.

Question 6

Physical findings with a AAA

Answer 6

Pulsatile mass, abdominal pain radiating to the flank, and groining. Early satiety, N/V,
discoloration of the feet.

Question 7

S/S of a ruptured AAA

Answer 7

Shock, hypoperfusion, abdominal distension, if a smoker increased diameter of the AAA and uncontrolled HTN

Question 8

Which imaging study is 100% correct for diagnostic for a AAA

Answer 8

Abdominal ultra sound.

Question 9

Non pharm treatment for a AAA

Answer 9

Definitive treatment is based on the size of a AAA. Smoking cessation, diet, exercise.

Question 10

Pharm treatment for AAA

Answer 10

Beta blockers,

Question 11

Why do Beta blockers work?

Answer 11

decrease the rate of expansion and risk of rupture.

Question 12

Treatment for a ruptured AAA

Answer 12

Emergency open repair

Question 13

Chronic treatment for a AAA

Answer 13

Beta Blockers
Statins
Ct ultrasound q6 months for 4-5.4 cm, q 12 months